Individual provider · Type 1 NPI

Veronica Rose Clark, CADC 1

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1124691845 Active

Practice location

1427 SE 182nd Ave
Portland, OR 97233-5008

Call (503) 761-6006 Map

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124691845

Veronica Rose Clark, CADC 1's National Provider Identifier is 1124691845, issued on Jul 20, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jul 20, 2021.